Social Media Utilization Within Asian American Families and Its Role in Healthy Lifestyle Behavioral Influence: Results From a Nationwide Survey

Objective:Social media platforms are effective tools for promoting public health and implementing impactful health interventions. This study explored social media utilization patterns among young Asian American adults and their effect on perceived family influence on lifestyle behaviors.Methods:The study analyzes data from Asian American young adults (aged 18-35 years) participating in an online survey in March 2021.Results:A total of 739 Asian Americans participated in the survey: 45.6% East Asian, 23.4% Southeast Asian, and 22.7% South Asian. Common social media platforms include Facebook Messenger (60.9%) and Instagram (57.0%). US-born Asian Americans reported higher odds of using Instagram (adjusted odds ratio [AOR]: 1.64, 95% CI: [1.09, 2.46]) than foreign-born Asian Americans. Higher acculturation was associated with lower odds of using Instagram among South Asians (AOR: .46, 95% CI: [.24, .83]) and greater odds of using Instagram among East Asians (AOR: 1.72, 95% CI: [1.09, 2.75]). Interacting with mothers using Facebook and Instagram had a higher perceived influence on one's ability to improve sleep (AOR: 2.08, 95% CI: [1.19, 3.65]; AOR: 2.53, 95% CI: [1.15, 5.55]) and develop stress-management strategies (AOR: 1.73, 95% CI: [1.02, 2.96]; AOR: 4.05, 95% CI: [1.83, 9.49]). With one's siblings, Facebook was associated with a lower perceived influence on avoiding risky substances (AOR: .48, 95% CI: [.23, .97]), and WhatsApp was associated with a higher perceived influence on one's ability to develop stress-management strategies (AOR: 3.10, 95% CI: [1.26, 7.78]) and form/maintain relationships (AOR: 2.58, 95% CI: [1.02, 6.58]). No significant findings with father interactions were observed.Conclusion:Findings provide evidence for researchers seeking to tailor social media-based interpersonal health interventions to address the unique needs of diverse Asian American communities.